C09995390 / invoice 10000

Species:CANINE
Breed:Pomeranian
Age (years):10
Diagnosis or signs:Coughing
Consult notes
06/03/2026 Reason: cough / choke / gag

History: choking cough / gag when excited etc otherwise normal dog 
reports unable to give any oral medication
 no otherprobs reported DUDE active 

Current medications: no

What Preventative health cover is being used and do you need to purchase any today? 
Worming: UTD
Flea control: UTD
Heartworm Prevention:
(TWP discussed: Yes/No)

Examine: 
Mentation: BAR stressed+
BCS   4/9      
MM:       P+M           CRT: 1-2s
HR:     112           RR: WNL / no adventitial lung sounds 
Dental Stage:1
Temperature: 39.4
Gastrointestinal: NAD on palpation – soft , relaxed no palpable masses
Integumentary & lumps (measurement, location): nad
Musculoskeletal: NAD – all joints and limbs – Rom WNL, no lameness,, no crepitus , pain or instability 

choke / gag / retch when trach pinch 

Assessment:
suspect collapsing g trachea note 39.4 - situational vs true pyrexia 

Treatment/Plan:
adv preds as required and doxy course - O declines reports unable to medicate 
adv trial inhaled bronchodilator / steroid - O reports unable to medicate 

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 09:17:55
Reason: cough / choke / gag

History: choking cough / gag when excited etc otherwise normal dog 
reports unable to give any oral medication
 no otherprobs reported DUDE active 

Current medications: no

What Preventative health cover is being used and do you need to purchase any today? 
Worming: UTD
Flea control: UTD
Heartworm Prevention:
(TWP discussed: Yes/No)

Examine: 
Mentation: BAR stressed+
BCS   4/9      
MM:       P+M           CRT: 1-2s
HR:     112           RR: WNL / no adventitial lung sounds 
Dental Stage:1
Temperature: 39.4
Gastrointestinal: NAD on palpation – soft , relaxed no palpable masses
Integumentary & lumps (measurement, location): nad
Musculoskeletal: NAD – all joints and limbs – Rom WNL, no lameness,, no crepitus , pain or instability 

choke / gag / retch when trach pinch 

Assessment:
suspect collapsing g trachea note 39.4 - situational vs true pyrexia 

Treatment/Plan:
adv preds as required and doxy course - O declines reports unable to medicate 
adv trial inhaled bronchodilator / steroid - O reports unable to medicate 

2025-05-20T00:00:00Z 15:37:26
AL

Dear Dr Marina,
Benji Plati was in today; thank you for referring him. Please review the attached copy of his dermatology record and let me know if you have any questions. We look forward to co-managing him with you in the future.
We value your continued trust in the Veterinary Dermatology Specialists team. 
If you would like to refer any other patients, simply follow this link and complete the online form.  
Kind regards,
Sent by Lisa Bickner • Dermatology Nurse on behalf of: 
Dr Sam Crothers • BSc BVMS Dip ACVD

Previous claim history (23)

DateClaim #Diagnosis
2024-07-25C7517602CUSHINGS DISEASE
2024-07-22C7494103ALOPECIA - PRESENTING COMPLAINT
2024-05-09C7211269CANINE HAEMORRHAGIC GASTROENTERITIS (HGE)
2023-06-19C6087692ALOPECIA
2023-01-15C5687041ANAL SAC ABSCESS
2021-05-30C3834735VOMITION & DIARRHOEA
2020-12-02C3344139DIARRHOEA - PRESUMED SELF-LIMITING
2020-04-07C2838593VOMITION & DIARRHOEA
2019-11-21C2591375TEETH CLEANING
2019-10-21C2503868VACCINATIONS OR HEALTH CHECKS
2018-12-28C2000636INAPPETANCE
2018-12-26C2007134GASTROENTERITIS
2018-09-25C1862146FLEA/TICK/WORM CONTROL
2018-09-25C1913208ABDOMINAL PAIN
2017-12-13C1548476CONJUNCTIVITIS
2017-09-11C1332556HAEMATOCHEZIA
2017-04-20C1175902HAEMATOCHEZIA
2017-04-20C1195012HAEMATOCHEZIA
2017-04-03C1165406ANAL SAC ABSCESS
2017-03-13C1144182INGEST RAT BAIT
2017-02-15C1115155MASS LESION
2017-02-09C1115148MASS LESION
2016-09-03C1176002INTOXICATION (POISONING), DRUG - NSAID - IBUPROFEN

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_consultation109.002026-03-05

UPM+

  • DG01981COUGHING - PRESENTING COMPLAINTDSTP_clinical_signs_-_coughing

Variant (sleepy_king)

COUGHING - PRESENTING COMPLAINT
DSTP_clinical_signs_-_coughing
Conf: 0.790
Threshold: 0.40
Above:
Correct?